Percutaneous treatment of anterior mitral leaflet perforation using an AMPLATZER Septal Occluder

Tiburtius, Claudia; Witt, Julian; Schöfer, Joachim

doi:10.4244/eij-d-18-00794

Cited by 1 publication

(1 citation statement)

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“…Regarding to transcatheter closure of mitral perforation, the bibliography is utterly scarce, based on case reports and focus basically on elderly people with severe mitral regurgitation due either to perforation of the mitral‐aortic curtain after transcatheter aortic valve replacement or after surgical aortic valve replacement due to aortic stenosis 7‐13 . There is only one report related to congenital heart disease in a patient 15‐year‐old, who following a repair of truncus arteriosus in the early neonatal period he suffered an injury to the anterior mitral valve leaflet during elective aortic root replacement and aortic valve repair, resulting in severe mitral regurgitation 14 .…”

Section: Discussionmentioning

confidence: 99%

Expanding percutaneous treatment of mitral valve diseases: Transcatheter closure of mitral valve leaflet perforation

Bellón

Morr

Merchan

et al. 2021

Cathet Cardio Intervent

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Mitral valve perforation is a rare cause of mitral regurgitation. We present a case of a 16‐year‐old patient with mitral valve regurgitation after redo‐cardiac surgery for recurrent subaortic stenosis. Transthoracic echocardiography revealed a mitral regurgitation with an eccentric jet causing a significant regurgitation documented by the presence of a convergence flow over the hole. This finding was corroborating by transesophageal echocardiography locating the perforation from the region of A2 scallop. Three‐dimensional transesophageal echocardiography confirmed these findings and played a key role guiding the procedure. Typical approach is usually a cardiac surgical procedure based on repair the perforation, but the mitral orifice was successfully closed percutaneously using an Amplatzer Duct Occluder II (ADO II; Abbott Vascular, IL).

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Section: Discussionmentioning

confidence: 99%